Individual
MRS. VANESSA HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MEDICAL TECHNOLOGY
Taxonomy
Speciality
Code
Description
License number
State
246QL0900X
Laboratory Management Specialist/Technologist
Primary
1013
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
31410
TRIPLE SSS
PR
05
—
31410
—
PR
01
—
660706058
INTERNATIONAL MEDICAL CARD
PR
Enumeration date
05/09/2008
Last updated
05/09/2008
Update your record
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